DON’T DO POTENCY DRUGS UNLESS YOU NEED TO
The search for a harder, stronger, more enduring erection has led numerous men directly into impotence. These men abused potency drugs without realising that they could end up with the opposite result – erections that were softer, weaker and didn’t endure.
Before Viagra was approved for use, the ‘leisure’ use of penile injections was alarming. Soon after injections became readily available, hospital casualty units began seeing cases of highly embarrassed men in pain who could find no way to make their erections go down.
If a man is perfectly potent, there is no point in his taking Viagra: it will not make him more of a man. Viagra works on biochemistry, and if biochemistry is in order, there is nothing for this drug to do: swallowing it is a waste of effort and money. Penile injections are different: if abused, they can do some serious damage.
Because Self-Injection Therapy (SIT) is, by definition, self-administered, it is easily overused. There are always a few clowns who think that if 1 ml is good, 2 ml will be much better. They go ahead and self-inject and then don’t know how to handle the consequences.
There have been reports of men who have obtained SIT illicitly and used it not because they were impotent but because They wanted to improve their sexual prowess. Wild expectations drove them to use bigger doses in the hope of getting bigger erections.
They ended up with extremely painful priapism. Such men typically don’t respond to warnings, don’t seek treatment and cause themselves permanent damage. While they may have been perfectly potent before they used the injections, they could become genuinely impotent alter abusing them.
Priapism can be profoundly painful. Often it is big-league pain that can only be relieved with narcotics.
Treated early, priapism is easily cured. However, it becomes problematic if men delay getting help. To let down an erection resulting from prolonged and untreated priapism, doctors have to stick a large needle into the shaft of the penis and draw out blood. They then have to re-inject the shaft with drugs. This can be dramatic.
If a man’s erection lasts for 4 hours, he should see a doctor. After 6 hours, he needs urgent attention. If an erection persists for more than 12 hours, there is a risk of permanent cell damage. The damage can be so extensive that injections may not work in the future and it may not be possible to implant a prosthesis. If treatment for priapism is delayed by more than 36 hours, the man will never regain normal erectile function.
In one well-known case, a 51-year-old man went to a hospital casualty unit 38 hours after injecting himself. His erection just would not go down. After two operations to achieve detumescence, he learnt he had permanently lost his erectile capability. There was so much internal scarring that nothing could be clone; even a prosthesis was out of the question. He had been in considerable pain, but embarrassment and the hope that his problem would resolve itself spontaneously had kept him from seeking help earlier.
The tragedy is that some men who end up with this damage never actually needed the injections in the first place. Men most at risk of priapism are those who have psychological impotence -men whose emotions inhibit their erections but whose physical erectile mechanism is normal. They have a good blood supply to the penis and so are supersensitive to the injections, which work by increasing blood flow. Physically they are fine, and their sexual difficulties could be treated in less invasive ways.
Although such men need counselling, they are often given injections at potency clinics because it’s quick and seems easier than talking about the issue for hours.
Men with premature ejaculation who are a bit anxious and perhaps not sure about their sexuality also go to these clinics and report erectile problems. Again, the short cut is to give them injections.
Men with neurogenic impotence – impotence resulting from spinal injuries or conditions such as multiple sclerosis – are also supersensitive to SIT because their blood supply is normal. While in their case injections are useful to ‘kick-start’ their erections, such men need very small doses.
Because SIT works by enabling blood flow to the penis to increase, it is useful for men whose arteries have narrowed or become blocked as a result of age or a disease such as diabetes. Once the blood flows in, the penis becomes engorged, and the veins kink and trap the blood to maintain engorgement. The erection does not disappear automatically alter climax. It lasts as long as the drug – usually from 20 minutes to an hour.
All men should be aware that if too much drug is administered, or the drug is used twice in a day or is used contrary to doctors’ instructions, priapism may result. When injection therapy is used judiciously, however, priapism is unusual.
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